Individual
BRENT SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(937) 365-7455
(937) 600-6071
Mailing address
1628 E. DOROTHY LN, KETTERING, OH 45429
(937) 750-8236
(937) 600-6071
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
08/12/2025
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